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Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26772.
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Appendix B

Statement of Task

The National Academies of Sciences, Engineering, and Medicine project staff from the Board on Health Care Services in collaboration with the Board on Behavioral, Cognitive, and Sensory Sciences will undertake all activities necessary for a 2-day public workshop to explore mechanisms that might improve care to meet the needs of people living with Alzheimer’s disease and related dementias (ADRD), connected to sustainable payment models that can be adopted by organizations. While many health systems, public health, and social service systems are redesigning their programs and processes to address the current siloed nature of care and service delivery, there remains a gap in understanding how to reliably implement organizational behavior change initiatives to better serve people living with ADRD. Possible health outcomes and care processes that may be explored as highly responsive to hospital organizational behavioral changes include

  • health care-associated infections;
  • in-facility safety (mobility promotion, fall prevention, physical restraints);
  • mentation management services (evaluating and addressing psychological and psychiatric symptoms);
  • care transitions (including medication reconciliation); and
  • person-centered care (assessments of what matters to people living with ADRD, including person-centered care goals and advance care planning).
Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26772.
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A planning committee of the National Academies of Sciences, Engineering, and Medicine will define the specific topics to be addressed, develop the agenda, and select and invite speakers and other participants. After the workshop, a proceedings of the workshop will be prepared by a rapporteur, reviewed according to National Academies’ report review procedures, and publicly released on the National Academies Press website. Background materials distributed for the workshop, presentation slides, and the like will be made available on the National Academies’ website.

Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26772.
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Page 87
Suggested Citation:"Appendix B: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2022. Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26772.
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Page 88
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Patients diagnosed with Alzheimer's disease and related dementias (ADRD) rely on family members, their community, and the health care system for progressively increasing support over the course of their disease. These people receive care through a frequently siloed health care system across hospitals, nursing homes, ambulatory care settings, and long-term care settings, as well as community- and home-based care. As the number of people living with a diagnosis of ADRD continues to grow, so does the need to provide better support for these people and their caregivers. The National Institute on Aging (NIA) Division of Behavioral and Social Research suggests that organizational behavior change will be needed for health care systems to integrate all of the services and supports required to provide high-quality care for people with ADRD.

NIA sponsored a workshop hosted by the National Academies of Sciences, Engineering, and Medicine to explore mechanisms to improve the quality of care for people living with ADRD and the potential of innovative payment models to incentivize health care systems to make the necessary systemic changes. The workshop convened a diverse array of experts in fields including nursing, geriatrics, health care economics, health care services research, quality measurement, social work, medical ethics, law, health care finance, and health care policy. This publication summarizes the presentation and discussion of the workshop.

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